Active NPI
Southern Mobility Specialists Inc
Doing business as Southern Mobility Specialists
- Customized Equipment (DME)
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- SOUTHERN MOBILITY SPECIALISTS INC
- Doing business as
- Southern Mobility Specialists
- Practice address
- 1860 Graham Dr
Tupelo, MS 38801-6794 - Phone
- (662) 260-4870
- Fax
- (662) 260-4764
- NPI assigned
- Jan 4, 2022
- Last updated
- Jun 22, 2026
- Organization subpart
- Yes
- Parent organization
- SOUTHERN MOBILITY SPECIALISTS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Lynn Grimes, PT, C/NDT, ATP, CRTS
- Title
- Vice President
- Phone
- (662) 260-4870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
1860 Graham Dr
Tupelo, MS 38801-6794
Mailing address
205 County Road 441
Houston, MS 38851-7642
Phone (662) 448-1179
Other names 1
- Southern Mobility Specialists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220913001711 | MS | DME Supplier - Medical Supply Company | 0042640344 | Practice locations: Tupelo, MS |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Southern Mobility Specialists
- Customized Equipment (DME)
- Houston, MS
- NPI 1407497977
0042640344
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Southern Mobility Specialists Inc | Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|W… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Southern Mobility Specialists Inc
- Part of
- Southern Mobility Specialists Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Southern Mobility Specialists
- Customized Equipment (DME)
- Houston, MS
- NPI 1407497977
-
dba Southern Mobility Specialists
- Durable Medical Equipment & Medical Supplies
- Selmer, TN
- NPI 1932024437
Locations
1860 Graham Dr
Tupelo, MS 38801
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Southern Mobility Specialists
- Customized Equipment (DME)
- Houston, MS
- NPI 1407497977
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Assistive Technology Practitioner Rehabilitation Counselor
- Houston, MS
- NPI 1255355947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1669133443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 COUNTY ROAD 441",
"city": "HOUSTON",
"state": "MS",
"postal_code": "388517642",
"telephone_number": "662-448-1179",
"fax_number": "662-448-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 GRAHAM DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016794",
"telephone_number": "662-260-4870",
"fax_number": "662-260-4764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MOBILITY SPECIALISTS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHERN MOBILITY SPECIALISTS INC",
"enumeration_date": "2022-01-04",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "GRIMES",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "662-260-4870",
"authorized_official_credential": "PT, C/NDT, ATP, CRTS"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Mobility Specialists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southern Mobility Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tupelo, MS
- Sog Surgery Center LLC
- Elizabeth Sojourner, PHARMD
- Sondra Bennett Pmhnp-BC LLC
- Hannah Soni, DO
- Southern Caregivers of Tupelo/Oxford, LLC
- Southern Patient Care, Inc.
- Stephen Robert Southworth, MD
- Courtney Sparks
- Specialty Orthopedic Group of Mississippi PLLC
- Specialty Orthopedic Group of Mississippi PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.